What precautions do you take when doing cataract surgery in nanophthalmic eyes?

Pearls for operating on nanophthalmic eyes

1. Consider general anesthesia
2. IV mannitol -12.5 mg if no systemic contraindications
3. Digital massage with scleral depressor or Honan balloon
4. Healon 5 or Healon HV
5. Can make capsulorhexis with microforceps through a paracentesis